HHS

Question 1

Definition of honk

Answer 1

Increased blood glucose causing a high osmolarity but no ketoacidosis

Question 2

Signs and sx

Answer 2

N v abdo pain predominantly

In HHS you get more neuro signs weakness reduced GCS visual probs

Question 3

Diagnostic criteeia

Answer 3

Hypoglycaemia- glucose is in the 30s without ketones and without acidosis

Question 4

Mx

Answer 4

Fluid replacement 1L normal saline in 1st hour

Then FRII only if ketonaemic or osmolarity not reducing

Question 5

Complication of hhs

Answer 5

Central pontine myelinosis